- Guidehouse (Tampa, FL)
- …**Travel Required** **:** None **Clearance Required** **:** None This position is fully remote **What You Will Do** **:** + Under the direction of the Director ... services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject...hold edits, and claim denials. **This position is 100% remote ** .Daily duties for this position include: + Responsible… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs… more
- National Health Transport (Miami, FL)
- Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance Medical ... Billing Specialist answers inquiries from insurance companies, patients, and processes...+ Medical coding training and experience + Familiar with Medicare /Medicaid laws and billing + Certified Ambulance Coder helpful… more
- Molina Healthcare (Miami, FL)
- …tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources ... to validate overpayments made to providers. * Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC) and diagnosis-related group (DRG) requests. * Enters and updates recovery applications and… more
- Datavant (Tallahassee, FL)
- …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help...workspace! **Preferred: In need for a FT IP auditing specialist . Auditing specialist will be responsible for… more
- Actalent (Altamonte Springs, FL)
- Job Title: Clinical Trials Applications/CTMS Specialist Job Description The Clinical Trials Application/CTMS Specialist plays a pivotal role in the management of ... clinical trial budgets and protocols. This position involves expertise in Medicare coverage analysis, financial processes, including invoicing and time and effort,… more
- Highmark Health (Tallahassee, FL)
- …Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but ... (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment… more
- Kestra Medical Technologies, Inc (Tampa, FL)
- …care teams harmoniously monitor, manage, and protect life. The Clinical Account Specialist (CAS) will be responsible for providing high quality touchpoints in key ... healthcare setting . Competent with Microsoft products, Salesforce, and remote patient monitoring systems . Excellent communication skills and cross-collaboration… more
- University of Miami (Miami, FL)
- …. Core Job Summary: The Patient Access Specialist (On-Site) is responsible for coordinating a wide ... Advance Directives, HIPAA, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance, ABNs, and MSPQ, prior to services being rendered. + Provides… more
- Modernizing Medicine (FL)
- …FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring ... a driven Patient Claim Specialist who will play a pivotal role in shaping...submission process and working with insurance carriers required (eg, Medicare , private HMOs, PPOs) + Manage/ field 60+ inbound… more